Riding Room Personal Program Registration
All fields marked with a * are required.

_________________________________________________________


Program Name: *
Credit Card Type: *
Visa
MasterCard
Amex


 Card Number: *

Expiry Date: *        Validation Code: *
             What's This?
Name of Person Responsible
for Equipment (the Renter): *


 Person's Name on Credit Card
(If Different than the Renter):
Address: *
City: *


 Province/State: *
Postal/Zip Code: *


 Country:
Phone Number: *


 Drivers License Number: *
Emergency Contact: *


 Emergency Phone: *
Email Address: *
Alternate Government ID if no License:


 Rider's Height (ft/in): *


Programs
.
Program Dates
 Program Time 
Check
Price
     Total     
Riding Room Boot Camp*
Three month riding window from registration date. Sixteen (16) sessions total.
Anytime
$249.99
$
Riding Room Ride to Health*
Three month riding window from registration date. Sixteen (16) sessions total.
Anytime
$249.99
$
The Waterfront Trailblazers
Ages 55 and up
Six month Riding window from registration date. Five (5) sessions total.
Mon - Sun

7:00am to 9:30am



$65 w/food option

$55 w/out
$
Ride 'N Shine
Six month Riding window from registration date. Five (5) sessions total.
Mon - Fri

7:00am to 9:30am



$65 w/food option

$55 w/out
$
*Ride with a Friend Discount:
If two or more friends register for a program at the same time, each friend will receive a 10% discount off the regular program price.
Both Bicycle Boot Camp & Waterfront Ride to Health are eligible for the "Ride with a Friend Discount".
Less
$24.99
-$
SUBTOTAL:
HST (13%):

Click to add tax to your order:       

TOTAL:

Please be sure that you have read and agree to the Terms and Conditions

You will receive a return email invoice confirming all details.

Reservations and not required for personal Riding Room Boot Camp and Riding Room Ride to Health programs however, we encourage you to call ahead to reserve your riding time in order to ensure availability.

*Ride with a Friend discount must be claimed at the time of registration. Friend's
registration forms must be submitted together to be eligible for Ride with a Friend Discount.
If claiming the Ride with a Friend Discount, please list the name of one of the friend's
in your group in the space provided.



Please enter the text below in the space provided